NPIMap

Organization Active NPI

Dermatology Clinics of Southwest Virginias PLLC

  • Dermatology Physician
  • Bluefield, VA
National Provider Identifier
1255644373
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY CLINICS OF SOUTHWEST VIRGINIAS PLLC
Practice address
725 S College Av
Bluefield, VA 24605-9209
Phone
(276) 326-3376
Fax
(276) 326-3046
NPI assigned
Jul 18, 2010
Last updated
Sep 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas C Myers, D.O.NPI 1528045994
Title
President/Physician
Phone
(276) 326-3376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

725 S College Av
Bluefield, VA 24605-9209

Mailing address

725 S College Av
Bluefield, VA 24605-9209
Phone (276) 326-3376

National Provider Directory

National Provider Directory

Locations

325 Folly Rd
Ste 305
Charleston, SC 29412
Phone (843) 501-9500

1804B E Main St
Radford, VA 24141
Phone (540) 633-3015

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1255644373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S COLLEGE AV",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246059209",
            "telephone_number": "276-326-3376",
            "fax_number": "276-326-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S COLLEGE AV",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246059209",
            "telephone_number": "276-326-3376",
            "fax_number": "276-326-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CLINICS OF SOUTHWEST VIRGINIAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-18",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "276-326-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.